E2063. “Muscles, Malformations and Multi-Modality Treatment, Oh My!”: Pediatric Musculoskeletal Vascular Malformations
  1. Aakriti Mishra; University of New Mexico School of Medicine
  2. Daniel Harwood; University of New Mexico Hospital
  3. Darryl DeMaris; University of New Mexico Hospital
  4. Emily Ochmanek; University of New Mexico Hospital
  5. Anna Fabre; University of New Mexico Hospital
Pediatric vascular malformations are rare entities that can pose challenges in both diagnosis and treatment. We will utilize case material from our multidisciplinary pediatric vascular anomalies team to illustrate our experience in the imaging and treatment of these rare entities.

Educational Goals / Teaching Points
1. Review the pathophysiology and classification of pediatric vascular malformations. 2. Review the pertinent imaging findings of musculoskeletal pediatric vascular malformations. 3. Review the technical aspects and considerations for sclerotherapy treatment of musculoskeletal pediatric vascular malformations. 4. Review the pre-operative and post-operative care and longitudinal follow up of these patients.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Anatomy will focus on the identification of venous and venolymphatic malformations present in the musculoskeletal system. We will demonstrate the radiographic, ultrasound, magnetic resonance imaging (MRI) and angiographic findings of the different types of vascular malformations based on the ISSVA classification. We will review the technical considerations that are required for treatment. We will review appropriate imaging follow up and the post-operative care of these entities.

Pediatric vascular malformations are a rare clinical entity. Knowledge of the magnetic resonance imaging findings, angiographic features, appropriate classification and technical considerations will help guide treatment.